Organization
SIMPLE STROKES THERAPY CONSULTANTS, PA
Active
Organization
SIMPLE STROKES THERAPY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY C MUELLER OTR/L (CLINICAL DIRECTOR)
(662) 349-8787
Entity
Organization
Contact information
Practice address
12311 ASHLEY DR STE A, GULFPORT, MS 39503-2950
(228) 357-5253
(662) 349-8757
Mailing address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
(662) 349-8757
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2662
MS
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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